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Search › California › 152W00000X

Mimi Phan, O.D

NPI 1598187924 · on the registry since 2014

Practice

Address
7677 Center Ave Ste 301
Huntington Beach, CA 92647
Phone
(714) 901-2007
Organisation at this address
Wave Imaging, Llc
Wave Imaging, Llc
Dia Enterprises Inc
Dia Enterprises Inc
Richard A Enns Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152WC0802X
152WL0500X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California